Provider Demographics
NPI:1336390145
Name:PULMONARY ASSOCIATES OF NORTH DALLAS, PA
Entity type:Organization
Organization Name:PULMONARY ASSOCIATES OF NORTH DALLAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:SURDACKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-865-2880
Mailing Address - Street 1:3032 E HEBRON PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4465
Mailing Address - Country:US
Mailing Address - Phone:972-865-2880
Mailing Address - Fax:972-865-2870
Practice Address - Street 1:3032 E HEBRON PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4465
Practice Address - Country:US
Practice Address - Phone:972-865-2880
Practice Address - Fax:972-865-2870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6641207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty